Mamie Swims, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6400 Issued in MS

Practice address

983 S Line St
Grenada, MS 38901-3723

Phone

(662) 809-3794

Fax

(662) 226-3794

NPI assigned

Feb 21, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Premier Center LLC

  • Clinical Social Worker
  • Grenada, MS
  • NPI 1265839666

  Clinical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1770908147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 S LINE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389013723",
            "telephone_number": "662-809-3794",
            "fax_number": "662-226-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 S LINE ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389013723",
            "telephone_number": "662-809-3794",
            "fax_number": "662-226-3794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Grant Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "39047",
            "country_code": "US",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIMS",
        "first_name": "MAMIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Mississippi-University of Mississippi Medical Center
• Teresa Kaye Stegall, N.P.
• Georgeanna Stokes
• Madison Bennett Stuckey
• Sunset Cardiovascular Services, LLC
• T. Kevin Braswell, MD P.a.
• Tallahatchie General Hospital
• Hubert D Taylor II, DO
• Jenny Taylor, FNP-BC
• Lowell Wayne Taylor, O.D.

• All providers in Grenada, MS
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.